Improving the counselling skills of lay counsellors in antiretroviral adherence settings: a cluster randomised controlled trial in the Western Cape, South Africa
SOURCE: AIDS and Behavior
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): S.Dewing, C.Matthews, N.Schaay, A.Cloete, L.Simbayi, J.Louw
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), COUNSELLING, HIV/AIDS, WESTERN CAPE PROVINCE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8469
HANDLE: 20.500.11910/2119
URI: http://hdl.handle.net/20.500.11910/2119
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): S.Dewing, C.Matthews, N.Schaay, A.Cloete, L.Simbayi, J.Louw
KEYWORDS: ANTIRETROVIRAL THERAPY (ART), COUNSELLING, HIV/AIDS, WESTERN CAPE PROVINCE
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8469
HANDLE: 20.500.11910/2119
URI: http://hdl.handle.net/20.500.11910/2119
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Little research has investigated interventions to improve the delivery of counselling in health care settings. We determined the impact of training and supervision delivered as part of the Options: Western Cape project on lay antiretroviral adherence counsellors' practice. Four NGOs employing 39 adherence counsellors in the Western Cape were randomly allocated to receive 53 h of training and supervision in Options for Health, an intervention based on the approach of Motivational Interviewing. Five NGOs employing 52 adherence counsellors were randomly allocated to the standard care control condition. Counselling observations were analysed for 23 intervention and 32 control counsellors. Intervention counsellors' practice was more consistent with a client-centred approach than control counsellors', and significantly more intervention counsellors engaged in problem-solving barriers to adherence (91 vs. 41 %). The Options: Western Cape training and supervision package enabled lay counsellors to deliver counselling for behaviour change in a manner consistent with evidence-based approaches.-
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